Helping Community-based Organizations Navigate DSRIP
New York State’s Delivery System Reform Incentive Payment (DSRIP) program seeks to fundamentally transform the State’s Medicaid program. Community-based organizations (CBOs) are an untapped resource crucial to meeting DSRIP’s goals of reducing avoidable hospital use by 25% over 5 years. They are well positioned to address population health issues; have long-standing, trusted community relationships; and provide critical services to New York’s most vulnerable populations. However, CBOs often report that they have not been meaningfully engaged in planning processes, and that Performing Provider Systems (PPSs) do not leverage the resources already available within communities.
Without careful attention, the State risks not only losing entities that already care for New York’s highest-need residents, but also weakening the goals and outcomes of DSRIP. In 2015, NYSHealth supported the Health and Welfare Council of Long Island (HWCLI) and Medicaid Matters New York (MMNY), through a fiscal sponsorship from the Schuyler Center for Analysis and Advocacy, to assist CBOs and safety-net providers during this massive shift in the health care delivery system.
On Long Island, HWCLI has set out to educate PPSs on the importance of CBOs in attaining DSRIP goals and to identify potential CBO partners for each PPS. It is helping CBOs augment their capacity and shift their organizational culture, and is providing training on value-based payments models. HWCLI will issue a final report that will call attention at the State level to Long Island- and suburban-specific needs, challenges, and lessons learned related to the DSRIP process.
MMNY is working in areas across New York State to inform PPS regions about the DSRIP process and to help CBOs better position themselves in the transformation. MMNY is conducting a statewide survey to determine CBOs’ readiness to engage in DSRIP and is connecting regions that have well-developed Medicaid consumer advocacy efforts with those that do not. Using results from this survey, MMNY will provide in-depth technical assistance to selected PPS regions to grow a sustainable infrastructure of CBOs involved in DSRIP. It will produce a final report with policy recommendations focused on ensuring that safety-net providers and CBOs are included in PPSs.